评估临床决策支持改善儿童初级保健中青少年抑郁症查和管理
Nathaniel J Glasser1, Camron Shirkhodaie1, Zachary C Newman2
1University of Chicago Medicine, Department of Medicine, Chicago, Illinois.
Academic pediatrics
|April 24, 2025
概括
实施电子健康记录 (EHR) 决策支持工具和医务助理 (MA) 领导的查显著提高了儿科护理中青少年抑郁症查率,从3%增加到80%以上.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 临床信息学 临床信息学
- 心理健康查 心理健康查
背景情况:
- 青少年抑郁症是一个重大的公共卫生问题.
- 有效的查对于早期识别和干预至关重要.
- 儿科门诊机构为系统查提供了机会.
研究的目的:
- 评估电子健康记录 (EHR) 临床决策支持工具对抑郁查率的影响.
- 评估医务助理 (MA) 领导的抑郁查的有效性.
- 确定这些干预措施在儿科实践中实施后抑郁症查率的变化.
主要方法:
- 从2016年9月到2020年12月进行了中断时间序列分析.
- 干预措施包括EHR决策支持工具 (2017年11月) 和抑郁查的MA培训 (2019年7月).
- 在实施每个干预措施之前和之后,对查率进行了跟踪.
主要成果:
- 在研究期间,抑郁症查率从3%增加到80%以上.
- 电子医疗健康决策支持工具与查率上升15.6%有关 (p=0.02).
- 随着MA的查,查率进一步增加了24.6% (p=0.002).
结论:
- 电子健康系统的临床决策支持工具在加强抑郁症查方面是有效的.
- 医务助理领导的查计划进一步提高了查的普及率.
- 这些结合的策略显示了增加青少年抑郁症查和管理在儿科设置的希望.
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